Questions Merged With
Complete Solutions | 2025-2026
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A 1-day postpartum woman states, "I think I have a urinary tract
infection. I have to go to the bathroom all the time." Which of the
following actions should the nurse take?
1. Assure the woman that frequent urination is normal after delivery.
2. Obtain an order for a urine culture.
3. Assess the urine for cloudiness.
4. Ask the woman if she is prone to urinary tract infections. - ANSWER-1
A 2-day postpartum mother, G2 P2002, states that her 2-year-old
daughter at home is very excited about taking "my baby sister" home.
Which of the following is an appropriate response by the nurse?
1. "It's always nice when siblings are excited to have the babies go
home."
2. "Your daughter is very advanced for her age. She must speak very
well."
,3. "Your daughter is likely to become very jealous of the new baby."
4. "Older sisters can be very helpful. They love to play mother." -
ANSWER-3
A 2-day-postpartum breastfeeding woman states, "I am sick of being fat.
When can I go on a diet?" Which of the following responses is
appropriate?
1. "It is fine for you to start dieting right now as long as you drink plenty
of milk."
2. "Your breast milk will be low in vitamins if you start to diet while
breastfeeding."
3. "You must eat at least 3,000 calories per day in order to produce
enough milk for
your baby."
4. "Many mothers lose weight when they breastfeed because the baby
consumes
about 600 calories a day." - ANSWER-4
It is not recommended that breastfeeding mothers go on weight-
reduction diets. In addition, it is not necessary for mothers to drink milk
to make breast milk.
When a breastfeeding woman has a poor diet, the quality of her breast
milk changes very little. In fact, if a mother consumes a poor diet, it is
her own body that will suffer. Mothers do not need to eat 3,000 calories
a day while breastfeeding.
,Many mothers who consume approximately the same number of
calories while breastfeeding as they did when they were pregnant do
lose weight while breastfeeding.
A 3-day-breastfeeding client who is not immune to rubella is to receive
the rubella vaccine at discharge. Which of the following must the nurse
include in her discharge teaching regarding the vaccine?
1. The woman should not become pregnant for at least 4 weeks.
2. The woman should pump and dump her breast milk for 1 week.
3. Surgical masks must be worn by the mother when she holds the
baby.
4. Antibodies transported through the breast milk will protect the baby.
- ANSWER-1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe birth defects
can develop if the woman becomes pregnant within 4 weeks of
receiving the injection.
3. This is unnecessary. There is no risk to the baby whether the mother
is bottle feeding or breast feeding. This statement is incorrect. There is
no risk to the baby.
4. This statement is incorrect.
A 3-day-postpartum breastfeeding woman is being assessed. Her
breasts are firm and warm to the touch. When asked when she last fed
the baby her reply is, "I fed the baby last evening. I let the nurses feed
him in the nursery last night. I needed to rest." Which of the following
actions should the nurse take at this time?
, 1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman. - ANSWER-1
Clients should be strongly encouraged exclusively to breastfeed their
babies to prevent engorgement. Massaging of the breast will stimulate
more milk production. That is not the best action to take.
It is unnecessary to culture the breast. This client is engorged; she does
not have an infection. It is unnecessary to assess this client's
temperature and pulse rate. This client is engorged; she is not infected.
A 3-day-postpartum client questions why she is to receive the rubella
vaccine before leaving the hospital. Which of the following rationales
should guide the nurse's response?
1.The client's obstetric status is optimal for receiving the vaccine.
2. The client's immune system is highly responsive during the
postpartum period.
3. The client's baby will be high risk for acquiring rubella if the woman
does not
receive the vaccine.
4. The client's insurance company will pay for the shot if it is given
during the
immediate postpartum period. - ANSWER-1
1 This statement is correct. Because the vaccine is teratogenic, the best
time to administer it is when the client is not pregnant.